Book contents
- Cardiopulmonary Bypass
- Cardiopulmonary Bypass
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Human Factors and Teamwork in Cardiac Surgery
- Chapter 2 Equipment for Cardiopulmonary Bypass
- Chapter 3 Monitoring during Cardiopulmonary Bypass
- Chapter 4 Cardiopulmonary Bypass Circuit Setup and Safety Checks
- Chapter 5 Priming Solutions for Cardiopulmonary Bypass Circuits
- Chapter 6 Anticoagulation for Cardiopulmonary Bypass
- Chapter 7 Conduct of Cardiopulmonary Bypass
- Chapter 8 Minimal Invasive Extracorporeal Circulation
- Chapter 9 Considerations for Operations Involving Deep Hypothermic Circulatory Arrest
- Chapter 10 Metabolic Management during Cardiopulmonary Bypass
- Chapter 11 Myocardial Preservation during Cardiopulmonary Bypass
- Chapter 12 Weaning from Cardiopulmonary Bypass
- Chapter 13 Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass
- Chapter 14 Mechanical Circulatory Support
- Chapter 15 Cardiopulmonary Bypass for Pediatric Cardiac Surgery
- Chapter 16 Coagulopathy and Hematological Disorders Associated with Cardiopulmonary Bypass
- Chapter 17 Inflammation and Organ Damage during Cardiopulmonary Bypass
- Chapter 18 Neuromonitoring and Cerebral Morbidity Associated with Cardiopulmonary Bypass
- Chapter 19 Renal Morbidity Associated with Cardiopulmonary Bypass
- Chapter 20 Common and Uncommon Disasters during Cardiopulmonary Bypass
- Index
- References
Chapter 15 - Cardiopulmonary Bypass for Pediatric Cardiac Surgery
Published online by Cambridge University Press: 24 October 2022
Book contents
- Cardiopulmonary Bypass
- Cardiopulmonary Bypass
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Human Factors and Teamwork in Cardiac Surgery
- Chapter 2 Equipment for Cardiopulmonary Bypass
- Chapter 3 Monitoring during Cardiopulmonary Bypass
- Chapter 4 Cardiopulmonary Bypass Circuit Setup and Safety Checks
- Chapter 5 Priming Solutions for Cardiopulmonary Bypass Circuits
- Chapter 6 Anticoagulation for Cardiopulmonary Bypass
- Chapter 7 Conduct of Cardiopulmonary Bypass
- Chapter 8 Minimal Invasive Extracorporeal Circulation
- Chapter 9 Considerations for Operations Involving Deep Hypothermic Circulatory Arrest
- Chapter 10 Metabolic Management during Cardiopulmonary Bypass
- Chapter 11 Myocardial Preservation during Cardiopulmonary Bypass
- Chapter 12 Weaning from Cardiopulmonary Bypass
- Chapter 13 Intraoperative Mechanical Circulatory Support and Other Uses of Cardiopulmonary Bypass
- Chapter 14 Mechanical Circulatory Support
- Chapter 15 Cardiopulmonary Bypass for Pediatric Cardiac Surgery
- Chapter 16 Coagulopathy and Hematological Disorders Associated with Cardiopulmonary Bypass
- Chapter 17 Inflammation and Organ Damage during Cardiopulmonary Bypass
- Chapter 18 Neuromonitoring and Cerebral Morbidity Associated with Cardiopulmonary Bypass
- Chapter 19 Renal Morbidity Associated with Cardiopulmonary Bypass
- Chapter 20 Common and Uncommon Disasters during Cardiopulmonary Bypass
- Index
- References
Summary
Over the past 40 years, the trend has been to perform more complex, corrective and fewer palliative procedures on younger and smaller patients. Today, more than 50% of pediatric open-heart operations are performed in infants less than one year of age with more than 20% of all pediatric heart procedures performed during the first month of life. The outcomes following surgery for congenital heart disease have improved significantly in recent decades, which is in part due to advances made in our understanding and techniques of cardiopulmonary bypass (CPB).Pediatric perfusionists must have specialized knowledge related to pediatric physiology and congenital heart disease as well as the ability to utilize perfusion circuits adapted to a wide range of patient sizes. Pediatric perfusion cases can sometimes be very long due to the complexity of the cardiac repairs.
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- Cardiopulmonary Bypass , pp. 150 - 155Publisher: Cambridge University PressPrint publication year: 2022
References
Suggested Further Reading
Harvey, B, Shann, KG, Fitzgerald, D et al. (2012). International pediatric perfusion practice: 2011 survey results. J Extra Corpor Technol, 44(4), 186–193.CrossRefGoogle ScholarPubMed
Sistino, JJ, Bonilha, HS. (2012). Improvements in survival and neurodevelopmental outcomes in surgical treatment of hypoplastic left heart syndrome: a meta-analytic review. J Extra Corpor Technol, 44(4), 216–223.CrossRefGoogle ScholarPubMed
Benziger, CP, Stout, K, Zaragoza-Macias, E et al. (2015). Projected growth of the adult congenital heart disease population in the United States to 2050: an integrative systems modeling approach. Popul Health Metr, 13, 29. doi:10.1186/s12963-015-0063-zCrossRefGoogle Scholar
Kirklin/Barratt-Boyes Cardiac Surgery 4th edition, by Kouchoukos, Nicholas T, Blackstone, Eugene H, Hanley, Frank L, and Kirklin, James K Chapter 2: Hypothermia, Circulatory Arrest, and Cardiopulmonary Bypass.Google Scholar
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McRobb, CM, Ing, RJ, Lawson, DS et al (2017). Retrospective analysis of eliminating modified ultrafiltration after pediatric cardiopulmonary bypass. Perfusion, 32(2), 97–109. doi:10.1177/0267659116669587CrossRefGoogle ScholarPubMed